- Heritage Ministries (Gerry, NY)
- …new programs efficiently. + Previous experience in Pharmacy insurance billing, including NYS Medicaid and Third party prescription plans. + Must be able to meet ... health assessment requirements, including required testing and health documentation. If you have a passion for service, work life balance, and enjoy working with others, we want to speak with you! Apply now! *A full written job description is available upon… more
- Molina Healthcare (Nassau, NY)
- …member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. + 50-80% ... local travel may be required. Reliable transportation required. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** HS Diploma/GED **REQUIRED EXPERIENCE:** * Minimum 1 year experience working with underserved or special needs populations, with varied health,… more
- Centene Corporation (New York, NY)
- …government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and ... families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community? **Qualifications for this role include:** + MD or DO without restrictions + Must be… more
- SUNY Upstate Medical University (Syracuse, NY)
- …into EPIC computer system; provide information and directions to patients; verify Medicaid , Medicare and HMO accounts. Will participate in cross training in other ... Patient Access Services (PAS) areas. Provide clerical support duties including answering telephones, filing, copying, etc. and complete other duties as assigned. Must be able to prioritize work, handle multiple tasks effectively in a timely and accurate manner… more
- Healthfirst (NY)
- …of at least two or more lines of business such as Medicare NY/NJ, Medicaid , Family Health Plus, Child Health Plus, NH Family + Experience managing a Quality ... Assurance or Operations Audit team. + Experience working with AI or other machine learning tools to assist with streamlining QA processes. + Experience working with delegates/vendors in a healthcare insurance setting. + Demonstrated experience or deep… more
- Catholic Health Services (Roslyn, NY)
- …insurance status to include but not limited to: ability to pay, Medicare/ Medicaid status and all third party payors; Obtains pre-certification and authorizations ... required for inpatient admission or ambulatory encounters from insurance carrier or managed care company and verifies in advance coverage limits, deductible amounts, and pre-existing clauses on all procedures; Performs Daily Appointment Reconciliation to… more
- Molina Healthcare (Albany, NY)
- …Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements, ... including the ability to easily access and interpret these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing. **Preferred Education** Bachelor's Degree in Nursing… more
- Loretto Management Corporation (Syracuse, NY)
- …forces as requested. + Educates other team members regarding community resources, Medicaid and other social program and psychosocial issues related to client care; ... maintains current knowledge of community resources and new applicable regulations. + Counsels and instructs paraprofessional staff in psychosocial and communication issues and assists with difficult family/care-giver conflicts. Supervises BSW and MSW students… more
- City of New York (New York, NY)
- …Health or HOP Surveys, Youth Risk Behavior Survey, SPARCS, Salient or other Medicaid claims databases, MEPS, BRFSS. - Ability to quickly familiarize oneself with ... priority public health and health policy topics without prior experience. Why you should work for us: - Loan Forgiveness: As a prospective employee of the City of New York, you may be eligible for federal/state loan forgiveness and repayment assistance… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more